CAJ | 학술논문

目的：分析人工耳蜗救助项目术前筛查的现状及存在的问题，为继续做好项目受助对象的筛选提供参考。方法对广东省1236例人工耳蜗救助项目申请对象的术前筛查情况进行统计分析。结果1236例人工耳蜗救助项目申请对象中农村户籍占55.99%，城镇占44.01%；申报信息主要来源于基层残联机构转介（40.05%）、省中心门诊（31.31%）、网络媒体（20.79%）、电话或传真（7.85%）等4个渠道；家长或监护人文化程度为初中以下的占61.89%，高中或中专占25.08%，大专以上占13.03%；家庭经济来源为务工的占49.08％，务农的占43.51％，经商的占7.41%；术前筛查平均通过率为48.79%；单项不达标项目构成比例分别为听觉言语评估37.16%，听力学评估25.08%，医学影像学评估20.61%，智力及精神行为评估10.39%，其它6.76%。结论人工耳蜗救助项目术前筛查内容多，实施过程复杂，申报信息来源渠道相对较局限，城乡救助比例差别不大，家长文化程度普遍偏低，目前筛查机构的服务能力和服务水平离项目的整体要求还存在一定的差距。
목적：분석인공이와구조항목술전사사적현상급존재적문제，위계속주호항목수조대상적사선제공삼고。방법대광동성1236례인공이와구조항목신청대상적술전사사정황진행통계분석。결과1236례인공이와구조항목신청대상중농촌호적점55.99%，성진점44.01%；신보신식주요래원우기층잔련궤구전개（40.05%）、성중심문진（31.31%）、망락매체（20.79%）、전화혹전진（7.85%）등4개거도；가장혹감호인문화정도위초중이하적점61.89%，고중혹중전점25.08%，대전이상점13.03%；가정경제래원위무공적점49.08％，무농적점43.51％，경상적점7.41%；술전사사평균통과솔위48.79%；단항불체표항목구성비례분별위은각언어평고37.16%，은역학평고25.08%，의학영상학평고20.61%，지력급정신행위평고10.39%，기타6.76%。결론인공이와구조항목술전사사내용다，실시과정복잡，신보신식래원거도상대교국한，성향구조비례차별불대，가장문화정도보편편저，목전사사궤구적복무능력화복무수평리항목적정체요구환존재일정적차거。
Objective To analyze the current status and problems during the implementation of the Cochlear Implant Assistance Project. Methods A total of 1236 cases who applied for the Cochlear Implant Assistance Project in Guangdong province were investigated and the general information and screening results of the applicants were analyzed. Results In all 1236 cases, 55.99% were from rural areas while 44.01% from urban areas. The applicants got the information about the projects mainly in 4 ways: local disabled persons’ federation referrals(40.05%), provincial rehabilitation centers (31.31%), internet(20.79%) and telephone or fax(7.85%). 61.89% of the parents or guardians had the educational level below junior high school, 25.08% finished high school or technical secondary school education and 13.03% completed their college education. The financial incomes came from farming (43.51%), factory working (49.08%) and running business(7.41%). 48.79% of the applicants succeeded in applying for the project. For those who failed to pass the tests, 37.16% failed the auditory and speech test, 25.08% failed the audiological test, 20.61%had abnormal imaging results, 10.39% had intelligence and mental disorders and 6.76% failed to apply for the project assistance due to other reasons. Conclusion The children who applied for the financial assistance of the project must receive several screening tests and the information sources are limited. There is no obvious difference in the assistance rates between urban and rural areas. The educational level of the parents of the applicants is generally low.The service capacity of the agencies can’t meet the requirements of the project.